JUAN DIAZ (NPI# 1205385788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205385788 |
| Entity Type | Individual |
| Full Name | JUAN DIAZ |
| Credential | PA |
| Practice Address |
13214 Palm Beach Blvd Fort Myers FL 33905-2025 |
| Mailing Address |
3434 Hancock Bridge Pkwy Ste 301 North Fort Myers FL 33903-7099 |
| Practice Telephone | 2396947887 |
| Practice Fax Number | 2396948941 |
| Mailing Telephone | (877) 856-3774 |
| Mailing Fax Number | 2395992612 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAT 9109751 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020653300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791441 | Juan Diaz | Counselor | 3055 Nw 126th Ave Apt 103, Sunrise, FL 33323-6332 | 2017-10-20 |
| 1437458775 | Juan Carlos Diaz | Social Worker | 639 Madeline Ct, West Palm Beach, FL 33413-3452 | 2011-03-25 |
| 1275727844 | Juan F Diaz | Pharmacist | A-12 Calle Colina Del Yyunque, Urb Las Colinas, Toa Baja, PR 00949 | 2007-08-28 |
| 1710092200 | Juan Tadeo Diaz | Physician Assistant | 19702 Sternwood Manor Dr, Spring, TX 77379-5062 | 2006-08-21 |
| 1275004459 | Juan Americo Diaz | Social Worker | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2018-12-16 |
| 1932683356 | Juan Jose Diaz | Physical Therapist | 10438 Iron Bridge Rd, Chester, VA 23831-1427 | 2018-09-21 |
| 1548785397 | Juan Diaz | Dentist | 2428 W Illinois Ave, Dallas, TX 75233-1106 | 2017-08-12 |
| 1952841397 | Juan Carlos Diaz | Counselor | 33 Guy Lombardo Ave, H.e.l.p. Services, Freeport, NY 11520-3637 | 2017-03-05 |
| 1467857722 | Juan Diaz | Marriage & Family Therapist | W175n11120 Stonewood Dr, Germantown, WI 53022-6511 | 2014-10-29 |
| 1669768149 | Juan Carlos Diaz | Preventive Medicine | 100 N Academy Ave, Danville, PA 17822 | 2011-06-23 |
| Street Address |
13214 PALM BEACH BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447214374 | Peter Lautenbach | Family Medicine | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2006-04-17 |
| 1548797905 | Morag Jean Mccoll Howard | Nurse Practitioner | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2017-05-16 |
| 1073984134 | Joni Renee Kellams | Nurse Practitioner | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2015-10-15 |
| 1093121089 | Carmen Maria Fernandez | Family Medicine | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2014-07-10 |
| 1154674158 | Tanya M Miller | Nurse Practitioner | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2012-10-16 |
| 1164610366 | Veronica Mills | Physician Assistant | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2007-10-12 |
| 1356455273 | Steven D Mitnick | Nurse Practitioner | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1811597198 | Alexis Thraen | Physician Assistant | 4536 Winkler Ave Apt 204, Fort Myers, FL 33966-7013 | 2020-10-27 |
| 1265065247 | Marathon Health LLC | Physician Assistant | 1660 Electric Ln, Fort Myers, FL 33917-3946 | 2020-02-18 |
| 1710510813 | Noshaba Khaliq | Physician Assistant | 17549 Cherry Ridge Ln, Fort Myers, FL 33967-5138 | 2020-02-17 |
| 1699307389 | Colleen Mcgonagle | Physician Assistant | 12700 Creekside Ln Ste 101, Fort Myers, FL 33919-3356 | 2020-02-10 |
| 1922643238 | Abigail Christine Reed | Physician Assistant | 16230 Summerlin Rd Ste 213-218, Fort Myers, FL 33908-5768 | 2019-11-11 |
| 1245899756 | Aileen Fiallo | Physician Assistant | 4571 Colonial Blvd Ste 210, Fort Myers, FL 33966-1156 | 2019-06-08 |
| 1316422199 | Angelia Lynette Sakyi-agyekum | Physician Assistant | 8291 Dani Dr Ste 101a, Fort Myers, FL 33966-8009 | 2018-09-27 |
| 1225547029 | Irene Julian | Physician Assistant | 14090 Metropolis Ave Ste 102, Fort Myers, FL 33912-4451 | 2017-09-25 |
| 1134653827 | Matthew Jeremy Blakemore | Physician Assistant | 6150 Diamond Centre Ct Ste 1300, Fort Myers, FL 33912-4367 | 2017-04-19 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on JUAN DIAZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.